Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe)

David Herrera¹, Mariano Sanz¹, Lior Shapira², Carlos Brotons³, Iain Chapple^{4

5}, Thomas Frese⁶, Filippo Graziani⁷, F D Richard Hobbs⁸, Olivier Huck⁹, Eva Hummers¹⁰, Søren Jepsen¹¹, Oleg Kravtchenko¹², Phoebus Madianos¹³, Ana Molina¹, Mehmet Ungan¹⁴, Josep Vilaseca^{15

16}, Adam Windak¹⁷, Shlomo Vinker¹⁸

Affiliations

¹ ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain.
² Department of Periodontology, Faculty of Dental Medicine, Hadassah and the Hebrew University Medical Center, Jerusalem, Israel.
³ Biomedical Research Institute Sant Pau (IIB Sant Pau), Sardenya Primary Health Care Center, Barcelona, Spain.
⁴ Periodontal Research Group, Institute of Clinical Sciences, College of Medical & Dental Sciences, The University of Birmingham, Birmingham, UK.
⁵ Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK.
⁶ Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Institut für Allgemeinmedizin, Halle (Saale), Germany.
⁷ Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, School of Dentistry, University of Pisa, Pisa, Italy.
⁸ Oxford Primary Care, Radcliffe Primary Care Building, ROQ, University of Oxford, Oxford, UK.
⁹ Dental Faculty, University of Strasbourg, Strasbourg, France.
¹⁰ Department of General Practice and Family Medicine, University Medical Center Göttingen, Göttingen, Germany.
¹¹ Department of Periodontology, Operative and Preventive Dentistry, University Hospital Bonn, Bonn, Germany.
¹² Dr. Odinaka's Clinic, Bodø, Norway.
¹³ Department of Periodontology, Faculty of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
¹⁴ Department of Family Medicine, Ankara University School of Medicine, Ankara, Turkey.
¹⁵ Department of Medicine, University of Vic - Central Catalonia University. Vic, Barcelona, Spain.
¹⁶ Primary Health Care Service, Althaia Foundation - Healthcare and University Network, Manresa, Spain.
¹⁷ Department of Family Medicine, Jagiellonian University Medical College, Krakow, Poland.
¹⁸ Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

PMID: 36935200
DOI: 10.1111/jcpe.13807

Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe)

David Herrera et al. J Clin Periodontol. 2023 Jun.

. 2023 Jun;50(6):819-841.

doi: 10.1111/jcpe.13807. Epub 2023 Mar 22.

Authors

Affiliations

¹ ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain.
² Department of Periodontology, Faculty of Dental Medicine, Hadassah and the Hebrew University Medical Center, Jerusalem, Israel.
³ Biomedical Research Institute Sant Pau (IIB Sant Pau), Sardenya Primary Health Care Center, Barcelona, Spain.
⁴ Periodontal Research Group, Institute of Clinical Sciences, College of Medical & Dental Sciences, The University of Birmingham, Birmingham, UK.
⁵ Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK.
⁶ Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Institut für Allgemeinmedizin, Halle (Saale), Germany.
⁷ Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, School of Dentistry, University of Pisa, Pisa, Italy.
⁸ Oxford Primary Care, Radcliffe Primary Care Building, ROQ, University of Oxford, Oxford, UK.
⁹ Dental Faculty, University of Strasbourg, Strasbourg, France.
¹⁰ Department of General Practice and Family Medicine, University Medical Center Göttingen, Göttingen, Germany.
¹¹ Department of Periodontology, Operative and Preventive Dentistry, University Hospital Bonn, Bonn, Germany.
¹² Dr. Odinaka's Clinic, Bodø, Norway.
¹³ Department of Periodontology, Faculty of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
¹⁴ Department of Family Medicine, Ankara University School of Medicine, Ankara, Turkey.
¹⁵ Department of Medicine, University of Vic - Central Catalonia University. Vic, Barcelona, Spain.
¹⁶ Primary Health Care Service, Althaia Foundation - Healthcare and University Network, Manresa, Spain.
¹⁷ Department of Family Medicine, Jagiellonian University Medical College, Krakow, Poland.
¹⁸ Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

PMID: 36935200
DOI: 10.1111/jcpe.13807

Abstract

Aim: To explore the implications for dentists and family doctors of the association between periodontal and systemic diseases and the role of dentists and family doctors in managing non-communicable diseases (NCDs) and promoting healthy lifestyles.

Materials and methods: The consensus reports of the previous Focused Workshops on the associations between periodontitis and diabetes (2017) and periodontitis and cardiovascular diseases (2019) formed the technical reviews to underpin discussions on both topics. For the association with respiratory diseases, a systematic review was specifically commissioned for the Workshop discussions. Working groups prepared proposals independently, and then the proposals were discussed and approved at plenary meetings.

Results: Periodontitis is independently associated with cardiovascular diseases, diabetes, chronic obstructive pulmonary disease (COPD), obstructive sleep apnea and COVID-19 complications. Dentists and family doctors should collaborate in managing NCDs, implementing strategies for early detection of periodontitis in primary care centres and of cardiovascular diseases or diabetes in dental settings. Family doctors should be informed about periodontal diseases and their consequences, and oral health professionals (OHPs) should be informed about the relevance of NCDs and the associated risk factors.

Conclusions: Closer collaboration between OHPs and family doctors is important in the early detection and management of NCDs and in promoting healthy lifestyles. Pathways for early case detection of periodontitis in family medicine practices and of NCDs in dental practices should be developed and evaluated.

Keywords: cardiovascular diseases; diabetes; family doctors; periodontitis; respiratory diseases.

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References

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Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe)

Affiliations

Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe)

Authors

Affiliations

Abstract

References

REFERENCES

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical